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Total Results: 4,019 records

Showing results for "mistakes".

3341. Addressing-Nurse-Fatigue-Promote-Safety-And-Health-Joint-Responsibilities-Registered-Nurses
      psnet.ahrq.gov/issue/addressing-nurse-fatigue-promote-safety-and-health-joint-responsibilities-registered-nurses
      November 16, 2015 - psnet

3342. Accessible Facilitator Guide: Learn From Defects for Sustainability (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects_facnotes.docx
      December 01, 2017 - Accessible Facilitator Guide: Learn From Defects for Sustainability Slide Title and Commentary Slide Number and Slide Sustainability: Learning From Defects SAY: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the per…

3343. Sustainability: Learning From Defects: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-fac-notes.html
      December 01, 2017 - Sustainability: Learning From Defects: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Sustainability: Learning From Defects Say: This module will review some concepts from Learning From Defects Through Sensemaking. It will also cover the Learning From Defects process from the perspective of …

3344. Success Stories from the AHRQ Medical Office Survey on Patient Safety Culture Webinar Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/medical-office/mowebinar_2014/mowebinar_2014transcript.pdf
      January 01, 2014 - So, for Communication About Error, which assesses whether staff are willing to report mistakes they … observe and do not feel like their mistakes are held against them and providers and staff talks openly

3345. In Conversation With... Georgia Galanou Luchen, Pharm. D. | PSNet
      psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
      October 24, 2021 - important in helping establish those relationships with providers and with patients and avoiding those mistakes

3346. Patient Safety in the United Kingdom: Evolution and Progress | PSNet
      psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
      May 01, 2007 - We have produced guidelines on reporting systems so that people didn't make the mistakes of some of the

3347. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - We have produced guidelines on reporting systems so that people didn't make the mistakes of some of the

3348. Workplace Safety in Health Care | PSNet
      psnet.ahrq.gov/perspective/workplace-safety-health-care
      January 01, 2017 - and the pharmacy and the prep process and the pharmacy and the delivery process to the ward and the mistakes … Perspective Patient Safety and Health Information Technology: Learning from Our Mistakes

3349. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - at processes through the eyes of the stakeholders to understand complexities and risk concerns for mistakes … examine processes from the perspective of those involved to grasp the intricacies and risks of potential mistakes

3350. In Conversation with...Geri Amori, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
      December 01, 2010 - of 30,121 cases.( 1 ) While this comprehensive study provided key data about the problem of medical mistakes … deaths per year estimate) in its seminal report, To Err Is Human ( 2 ), that the issue of medical mistakes

3351. In Conversation With… Mary Dixon-Woods, DPhil | PSNet
      psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
      March 01, 2017 - RW : Over the last 15 to 20 years, our way of thinking about mistakes and harm has changed, with much … seems positive to me because the idea that error and harm are directly linked was probably one of the mistakes

3352. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
      May 01, 2017 - Litigation With patient privacy laws and the fear of oversharing information about adverse events or mistakes … matter the expertise of the health care providers or the precautions taken to prevent adverse outcomes, mistakes

3353. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - examine processes from the perspective of those involved to grasp the intricacies and risks of potential mistakes … at processes through the eyes of the stakeholders to understand complexities and risk concerns for mistakes

3354. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
      April 01, 2013 - biologic night at the circadian nadir, most of us are a little bit more tired and more prone to making mistakes … The work hour rules and contributors to patient care mistakes: a focus group study with internal medicine

3355. Are Residency Duty Hour Rules Improving Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
      April 01, 2013 - The work hour rules and contributors to patient care mistakes: a focus group study with internal medicine … biologic night at the circadian nadir, most of us are a little bit more tired and more prone to making mistakes

3356. Risk Management and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/risk-management-and-patient-safety
      December 01, 2010 - of 30,121 cases.( 1 ) While this comprehensive study provided key data about the problem of medical mistakes … deaths per year estimate) in its seminal report, To Err Is Human ( 2 ), that the issue of medical mistakes

3357. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
      January 01, 2023 - such as how medications are manufactured and packaged) and active errors (i.e., slips, lapses, or mistakes … Improving Patient Safety: Medication Error Reporting (1) • The safest organizations learn from their mistakes

3358. Error Producing Conditions in the Intensive Care Unit (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
      February 26, 2008 - • Mistakes—for example, due to an incorrect understanding of a situation, an individual takes actions … FailuresLatent Conditions Organizational processes & management decisions Slips Lapses Mistakes

3359. Urine a Tough Position | PSNet
      psnet.ahrq.gov/web-mm/urine-tough-position
      January 01, 2009 - Urine a Tough Position Citation Text: Gandhi TK. Urine a Tough Position. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

3360. Spotlight Case (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
      May 01, 2006 - Spotlight Case Spotlight Case May 2006 Right? Left? Neither! Source and Credits This presentation is based on the May 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD…